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- From: "Michael Holloway" <mike_holloway@hotmail.com>
- Newsgroups: bit.listserv.transplant,sci.med,sci.answers,news.answers
- Subject: FAQ: bit.listserv.transplant, Organ transplant ng (Part 2 of 4)
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- Approved: news-answers-request@MIT.Edu
- Reply-To: mike_holloway@hotmail.com (Michael Holloway)
- Summary: This is a description of the bit.listserv.transplant newsgroup
- and its parent mail list, TRNSPLNT. Frequently asked
- questions regarding organ transplantation are addressed.
- A list of resources for transplantation patients is provided.
- Pointers to other Internet transplantation resources are provided.
- Originator: faqserv@penguin-lust.MIT.EDU
- Date: 17 Apr 2004 11:26:57 GMT
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-
- Archive-name: medicine/transplant-faq/part2
-
- Part 2 of bit.listserv.transplant FAQ
-
- Last updated 4/11/01
-
- Added "Organ Transplants: Making the Most of Your Gift of Life" to Part 2,
- section II.
-
- Part 2:
- I. Things your doctor may not have told you - Bits of advice for transplant
- patients
- Everyday stuff
- Drinking water
- Ibuprofen
- Packing for the hospital
- II. Sources of information on organ and tissue donation, transplantation,
- and transplant centers
- Patient support groups, services, books and videos
- Religious organizations views on organ donation
- - National Donor Sabbath web site
- List of US lung transplant centers
- Living-Related Liver Transplant Programs in the US
- III. Non-US professional transplant organizations and patient support
- groups
- IV. Transplant fund raising
- V. Live kidney donor information
- VI. Renal transplant specific sources and information
- VII. Bone marrow transplant specific sources
- Bone marrow donation information
-
- ==========================================================================
- I. THINGS YOUR DOCTOR DIDN'T TELL YOU
- ==========================================================================
- (contributed by Alex Bost alex@unx.sas.com)
-
- Everyday Stuff:
-
- Buy a Medic-Alert (or some other brand) medical jewelry. Carry a
- card in your wallet that says you are a transplant recipient and
- list all your daily meds, as well as any drug allergies.
- (see Part 3, section IIe.)
-
- Stay out of the Sun/Use a Sunscreen!
- Many of the immunosupressive drugs will make you vulnerable to
- sunburn and increase your risk of skin cancer. Cover up, user
- a sunscreen of at least SPF30 and stay out of the sun.
-
- Buy Anti-bacterial Soap and put it everywhere: the kitchen, the
- bathrooms, the garage. Wash your hands often. That goes for family
- members, too. Buy a pack of Anti-bacterial wipes and keep them
- handy for when you are out of the house.
-
- Replace your household cleaning products (409, PineSol) with a brand
- (LySol) that disinfects as well as cleans.
-
- Eating Out:
- - Stay away from Salad Bars and Buffet Tables
- - Order well-cooked meats
- - Never, ever order an egg -- unless it is cooked solid
- - Never, EVER order raw seafood
- - Wash your hands before eating anything
- - If you suspect germs, ask your food preparer or server
- to wash their hands
-
- Pets:
- - Dogs, in general, are ok. Stay away from the feces.
- - Use caution with cats and litter boxes; cat feces can carry
- toxoplasmosis.
- - Birds carry many parasites and bacteria. Use caution (lung
- tx -- stay away!).
- - Hamsters, Gerbils, Rats, and Mice bites can affect your resistance
- to some immunosupressive drugs (like OKT3). Stay away from them.
-
- Travel Tips:
- - NEVER pack your meds - keep them with you at all times. It's a
- good idea to pack some extras.
- - Carry a copy of your medical history, doctors names, and
- prescriptions wth you.
- - When flying, take along a mask in case someone seated close to
- you has a cold.
- - Carry bottled water and keep yourself hydrated.
-
- --
- Alexandra Bost
- UNIX SysAdmin, SAS Institute email: alex@unx.sas.com
-
-
- June `95 drinking water advisory
- --------------------------------
- from Ken Lifton <KenL240787@AOL.COM>:
-
- Transplant Recipients International Organization
- 1735 I Street NW, Suite 917
- Washington, DC 20006-2461
- 800-TRIO-386
-
- DATE: June 16, 1995
- TO: Chapter Presidents and Chapters In Formation
- FROM: Lisa R. Kory, Executive Director
-
- Subject: CDC Press Advisory - "Drinking Water Guidance for
- People
- with Weakened Immune Systems"
-
- Enclosed, please find a Centers for Disease Control (CDC) Press Advisory
- regarding the presence of Cyptosporidium (a parasite) in drinking water and
- its harmful potential for those with weakened immune systems (transplant
- recipients, HIV/AIDS infected and cancer patients).
-
- The CDC recommends consulting you doctor to assess individual vulnerability
- to the parasite. If you are at risk, the most effective method of
- neutralizing cryptosporidium is to bring your water to a rolling boil for at
- least one minute. Drinking bottled water that is distilled, has gone
- through
- a process of reverse osmosis, or comes from a deep well or protected spring,
- are good alternatives. For further information on bottled water call the
- International Bottled Water Association's Hotline at 800-WATER-11. Tap water
- taken from lakes or rivers is more likely to be contaminated.
-
- Please contact our office for further information about in-home, National
- Sanitation Foundation (NSF) approved, point of use (personal use, end of
- tap,
- under sink) water filtration systems, or call NSF directly at 800-NSF-8010.
- If you have further concerns about cryptosporidium in tap water you can call
- CDC's National AIDS Hotline (1-800-342-AIDS) or your local water utility.
-
-
- Drug interactions
- -----------------
- Subject: Re: ibuprofen
- From: Jeff Punch <jpunch@umich.edu>
-
- Ibuprofen IS often a problem for patients on cyclosporine. The reason
- for this is because cyclosporine causes a constrictive effect on the small
- blood vessels in the kidneys. Normally the kidney responds by
- "autoregulation" which compensates for the cyclosporine effects. Ibuprofen
- can inhibit this autoregulation making the kidney more vulnerable to the
- toxic effects of cyclosporine. This can markedly reduce kidney function,
- and even result in kidney failure. Therefore, patients on cyclosporine
- need to be exceedingly careful about taking ibuprofen. Ibuprofen is
- available over the counter in many many different drugs including sinus
- medications and cold remedies.
-
- Furthermore, the entire class of drugs that ibuprofen belongs to can
- cause this problem. They are called NSAID for "non-steroidal
- anti-inflammatory drugs". Other members of this class include Naprosyn
- (recently approved for over the counter), indocin, clinoril, and many
- others. The effect that the combination of cyclo plus NSAID has on the
- kidney is variable: not everyone gets kidney failure. But, the fact that
- the two can combine to cause a real problem means that transplant
- patients on cyclosporine need to be extremely careful about any taking
- over the counter medications.
-
- Packing for hospital
- --------------------
- (compiled by Luis Enrique Acero <lacero@impsat.net.co> from TRNSPLNT
- posts)
-
- - Before you pack
- A list of what to do at home to ready it for your absence.
- Make sure your beeper it's working
-
- - What to pack
- Slippers, socks, a robe (must have)
- Loose clothes
- Eye mask, ear plugs (being able to sleep any time)
- Personal care => toothbrush, hairbrush, ...
- Personal pillow (if any preferences)
- glasses, rigid case to put them
- Notebook, pens (take notes of medicines, remember questions)
- List of people who you want to notify addresses/phone numbers (stamps)
- Long distance calling card
- Portable radio/tape/cd player with headphones (extra batteries)
- Laptop, computer (internet access, games)
- Books, magazines, crosswords
- Camera (to remember people)
- Personal items to make you feel better => photographs, bible, ....
- Candy (for nurses)
- Money => quarters, cash
-
- ==========================================================================
- II. Sources of information on organ and tissue donation, transplantation,
- and transplant centers
- Patient support groups, services, and media
- List of US lung transplant center waiting times
- ==========================================================================
- National Donor Sabbath web site
- --------------------------------
- This site contains a wealth of information regarding the positions of
- many Judeo-Christian religious organizations toward organ donation.
- Organizations' recent position statements, and suggestions to clergy
- for participating in National Donor Sabbath Day, or presented.
- From Douglas Y. Sur - doug.sur@bigfoot.com:
- National Sabbath Day is coming and has been constructed to help
- religous organizations help the transplant community.
- For those interested in National Donor Sabbath Day, please contact
- Jennifer Grant at 301-443-7577. I tried putting up some information
- regarding the subject at
- http://www.transplantawareness.org/sabbath/CONTENTS.html
-
- UNOS
- ----
- (See also Part 1, section II for UNOS WWW page.)
- From UNOS quick info sheet:
- ------------------------------------------------
- The United Network of Organ Sharing, located in Richmond, Virginia,
- administers the National Organ Procurement and Transplantation Network
- (OPTN) and the U.S. Scientific Registry for Organ Transplantation
- under contracts with the US Department of Health and Human
- Services. UNOS is responsible for promoting, facilitating and
- scientifically advancing organ procurement and transplantation
- throughout the United States while administering a national organ
- allocation system based on scientific and medical factors and
- practices.
-
- UNOS members include every transplant program, organ procurement
- organization and tissue typing laboratory in the United States.
- Policies governing the transplant community are developed by the
- UNOS membership through a series of regional meetings, deliberations
- at the national committee level and final approval by a 32 member
- board of directors, equally represented by physicians and
- nonphysicians.
-
- UNOS has formulated policies to ensure equitable organ allocation to
- patients registered on the national waiting list. These policies
- forbid favoritism based upon political influence, race, sex of
- financial status; they rely, instead, upon medical and scientific
- criteria.
- ------------------------------------------------
-
- Back issues of "UNOS Update", the UNOS Ethics Committee whitepaper
- reports on alternative organ donation and tables of recent UNOS
- statistics on organ transplantation, are available through the Yale
- biomedical gopher (see Part 1, section II).
-
- The UNOS 800 number for organ donation information, pamphlets, organ
- donor cards, bumper stickers, etc., is: 1-800-24-donor.
-
- To request transplantation statistics, UNOS Update, or ethics
- committee reports call (804) 330-8500. UNOS Update gratis
- subscription requests can also be made by writing to Esther
- Benenson, Managing Editor, UNOS Update, P.O. Box 13770, Richmond, VA
- 23225-8770. A list of educational material is also available. Some
- of these require a fee.
-
- You can also send a request for information or donor education
- materials to NewmanJD@gwwpm1.unos.org.
-
- From Joel Newman <NewmanJD@gwwpm1.unos.org> (5/24/96)
- UNOS does have center-specific graft and patient survival
- rates and can provide up to 10 programs' stats free of charge. For
- better tracking and fulfillment, we ask that you send us a written request
- (can be faxed or e-mailed). Please specify the programs for whom you
- want data and give us a snail-mail address (there is a user's guide that
- accompanies the data, and it's almost always too much to fax). The best
- number to call for more info is the Communications Department at
- 804-330-8561. You can also fax requests to us at 804-330-8507, or
- e-mail me and I'll pass it on. Please try to allow a week or so for us to
- process and mail the info -- we're getting a lot of requests lately.
-
- Coalition on Donation
- ---------------------
- The Coalition on Donation is a nonprofit alliance of numerous
- professional, patient, health, science, transplant and voluntary
- organizations. Its purpose is to increase public awareness of organ and
- tissue donation, correct misconceptions about donation, and create a
- greater willingness to donate.
- For brochures and education material call: 1 -800-355-SHARE
- Coalition on Donation
- 1100 Boulders Parkway, Suite 500
- P.O. Box 13770
- Richmond, VA 23225-8770
- FAX: 804-330-8593
-
- The Partnership for Organ Donation, Inc.
- ----------------------------------------
- http://www.med.umich.edu:80/trans/transweb/partnership
- (see Part 1, section II)
-
- From "Solving the Organ Donor Shortage":
-
- "The Partnership for Organ Donation, Inc. is an independent
- nonprofit organization dedicated to solving the desparate shortage
- of organs available for transplantation in the United States.
- "The Partnership believes the gap between eligible and actual
- donors can be closed, and donation substantially increased, by
- implementing an organized, proactive, and systematic program which
- focuses on three key audiences: health car professionals, organ
- procurement organizations, and the American public."
-
- "Solving the Organ Donor Shortage" is a very concise and detailed
- description of the shortage, the problems contributing to it, and
- how the Partnership believes it can be combatted, complete with
- bibliography. A copy can be obtained from:
-
- The Partnership for Organ Donation
- 2 Oliver St. International Place
- Boston, Massachuetts 02109
- telephone:(617)482-5746.
- info@organ-donation.org
-
- The Wendy Marx Foundation for Organ Donor Awareness
- ---------------------------------------------------
- Dedicated to educating people about organ donor awareness. It was
- formed in 1990 after Wendy Marx received a liver transplant. The
- Foundation has helped sponsor the U S Transplant Games; formed the U S
- Sports Council on Organ Donation, which includes athletes, coaches, team
- managers and sports media representatives; launched Dribblin' for Donors
- on the collegiate basketball level; and has spread the word in many
- presentations throughout the country to schools, corporations and the
- press.
-
- "Talk, Talk, Talk," is a video aimed at reaching junior high school students
- and their families on the issue of organ donation. The eight-minute video
- features Olympic champion Carl Lewis and liver transplant recipient Wendy
- Marx. The video will have the most impact if a transplant recipient or donor
- family member is able to accompany it in a classroom.
-
- Wendy Marx can be reached at WEMarx@aol.com
- The Foundation can be reached at 202/546-7270 or 322 S. Carolina Street, SE;
- Washington DC 20003
-
-
- Support groups (see Part 3 for organizations offering financial assistance)
- ---------------------------------------------------------------------------
-
- A.C.O.R.N. (Atlantic Canada Organ Recipient Network)
- ----------------------------------------------------
- from Oran Mosher <oran@ra.isisnet.com>
-
- The group currently consists of people who are from across Atlantic
- Canada. A.C.O.R.N. holds meetings every other month and produces a
- Newsletter three times a year. The Newsletter is called ACORN News. The
- Newsletter is used as a communication tool to keep it's members informed on
- various topics. The group promotes organ donor awareness, peer volunteer
- support,
- organizes social events and holds fundraisers to help with financial costs.
- For more information about A.C.O.R.N. or to receive a personal copy
- of ACORN News send your queries to any of the below addresses.
- Mailing Address: A.C.O.R.N.
- c/o V.G. Hospital
- 1278 Tower Rd.
- Halifax, NS
- B3H 2Y9 Canada
-
- Voice Mail / Fax Machine: (902) 469-9769 - Voice
- (902) 428-2042 - Fax
-
- Biliary Atresia & Liver Transplant Network
- ------------------------------------------
- Biliary Atresia & Liver Transplant Network Inc.
- 3835 Richmond Avenue, Box 190
- Staten Island, NY 10312 USA
- Telephone (718) 987-6200
- Fax: (718) 987-6200
- E-Mail: Livers4Kids@earthlink.net OR OrganTrans@msn.com
- Web Site: http://www.asf.org/balt.html
-
- Biliary Atresia & Liver Transplant Network
- Dedicated to empowering the hearts and minds of children with liver
- disease,
- their families and the medical professionals, BALT is the largest pediatric
- liver foundation worldwide and publishers of The Biliary Tree newsletter.
- BALT
- provides FREE educational information, support, and advocacy for all
- pediatric
- liver diseases (PRE- AND POST-LIVER TRANSPLANT) including Alagille's
- Syndrome,
- Alpha-1 Antitrypsin, Biliary Atresia, Byler's Syndrome, Galactosemina,
- Gylcogen Storage Disease, Hepatitis, Tyrosinemia, Wilson's Disease and
- pediatric liver transplantation.
-
- WHAT BALT DOES
- Baby Formula & Medical Supplies Network - This program has helped many
- families throughout the U.S. to provide adequate nutrition for their
- children
- with liver disease.
- Parent Matching - This program brings parents in the network together, which
- often results in establishing strong support systems and special
- friendships.
- Support Team - The eight member team welcomes new families and provides
- emotional support as these families start their journeys.
- The Tree House Club - The Club allows children with liver disease, liver
- transplant recipients and their siblings to share their feelings and cope
- with
- their fears by linking up with each other through a pen-pal network.
- The Children's Corner - The Corner gives our kids a special page in each
- issue
- of The Biliary Tree where they can get creative. It's a chance for the kids
- to share what's new and to tell their own stories.
- BALT Library - The library holds information for all members on all areas of
- pediatric liver disease, pediatric liver transplantation and organ donation.
- And because the library is connected with a number of other organizations
- worldwide, additional resources will continually become available to
- members.
- The Twin Registry - In hopes of getting to the core of why certain diseases
- occur in our infants, the registry continues to register twins and triplets
- with liver disease.
- Educational Seminars - In conjunction with other organizations, BALT
- conducts
- educational seminars with the assistance of leading medical professionals .
- On-Line Family Support Chats - Families with computer access can join BALT,
- medical professionals and other families to discuss all aspects of pediatric
- liver disease and transplantation. Schedules will be posted on our Web
- site.
- Transplant Center Referrals - BALT acts as liaisons between families and
- pediatric liver transplant centers. We provide information about specific
- transplant centers, resources available in the area and support from other
- BALT families located near the transplant center.
- Medical Advisory Board - To ensure the highest quality of medical
- information
- to our members, BALT has enlisted the assistance of the top medical
- professionals in pediatric liver disease and transplantation.
- Angels Above Us - Until a cure is found for liver disease and
- transplantation
- has been perfected, Angels Above Us will continue to serve as the
- organization's bereavement support group. This group lends support to those
- who are suffering by linking them with others in the network who have also
- lost children.
- Coalition on Transplantation - BALT serves as Co-Directors and Founding
- Trustees of the American Share Coalition on Transplantation (ASCOT). BALT,
- along with the American Share Foundation, The Nicholas Green Foundation and
- The World Children's Transplant Fund have together formed a coalition of
- groups dedicated to disseminating educational information about
- transplantation and promoting organ donation. ASCOT's web site
- (http://www.asf.org) is the Official Web Site for The 1997 International
- Transplant Congresses.
-
- Children's Liver Association for Support Services (C.L.A.S.S.)
- --------------------------------------------------------------
- 26444 Emerald Dove Drive
- Valencia, CA 91355
- toll-free: 1-877-679-8256
- (661) 255-0353
- e-mail: SupportSrv@aol.com
- http://www.classkids.org
- C.L.A.S.S. is dedicated to addressing the emotional, educational and
- financial needs of families with children afflicted with all types of liver
- disease including: biliary atresia, Alagille's syndrome,
- alpha-1-antitrypsin, tyrosinemia, Wilson's disease, and others. We have
- produced a 30 page Resource Directory with an up-to-date listing of
- organizations, places to turn for help with expenses related to your
- child's medical care, places that help with free or low cost airfares, etc.
- Just send us an e-mail if you would like to receive one. C.L.A.S.S. is an
- all-volunteer group comprised of parents, family members, healthcare
- professionals and others interested in pediatric liver disease and liver
- transplantation. The programs and services of C.L.A.S.S. include: telephone
- hotline, parent matching, financial assistance, educational literature, and
- much more. Our free quarterly newsletter, "C.L.A.S.S. Notes" describes past
- and upcoming activities of the organization, highlights additional
- available resources, and features articles written by leading liver
- specialists about various aspects of pediatric liver disease and liver
- transplantation. C.L.A.S.S. is a qualified tax-exempt nonprofit
- organization under the Internal Revenue Code as described in section
- 501(c)(3).
-
- Diamond State Organ Donor Association
- -------------------------------------
- PO Box 471 800-464-4357
- Dover, DE 19903
- Main emphasis is on education and donor awareness. Delaware Motor Vehicle
- Dept. recently began supporting a campaign for Donor cards and Green Dots on
- driver's licenses. Meetings are held in both Seaford and Stanton, DE.
-
- Donor Network of Arizona
- ------------------------
- From Dale Ester <dalee@ENET.NET>:
- DNA is an OPO and has a logo - "the vital link for organ, tissue,
- and eye recovery. SHARE YOUR LIFE ...SHARE YOUR DECISION." DNA is
- located at 3877 N 7th St # 200 Phoenix, AZ 85014 (602) 222-2202
- 1-800 94-DONOR . Jack Cremin is the Director. DNA has produced a
- donor awareness educational video which is currently showing on
- public TV. DNA has a Speaker's Bureau of organ recipients and donors
- (approximately 25 individuals) who personally spread the word
- (educate) others about the benefits of organ donation. I am on this
- Bureau (for the past 3 1/2 years).
- The same telephone number/address also gets in touch with Robert
- Miller (Director) of the ARIZONA COALITION FOR ORGAN DONATION.
-
- Liasons for Life Support Group
- ------------------------------
- 800-543-6391
- c/o DE Valley Transplant Program
- Newly reorganized umbrella organization to support and
- encourage support groups in area served by DE Valley
- Transplant Program. The DE Valley Transplant Program is the
- regional procurement organization for Delaware and can be
- reached at:
- DE Valley Transplant Program 800-Kidney1
- 2000 Hamilton Street, Suite 201
- Philadelphia, PA 19130-3813
-
- SECOND CHANCE TRANSPLANT SUPPORT GROUP
- --------------------------------------
- 1609 WINTERGREEN COURT
- HUNTSVILLE,ALABAMA 35806
- Second Chance, transplant support group is a support group for pre and post
- transplant recipients and their families.
- the purpose is to increase public awareness concerning the critical shortage
- of donated organs. to help educate the public concerning fears and
- misconceptions of being an organ donator.
- to emotionally support transplAnt recipients,and their fanilies through each
- hurdle and milestone after transplant surgery,to share ideas,concerns,and
- educational materialrelated to improving the quality and appreciation of
- life
- as an organ receipient,to help each other keep abreast of future
- developments
- and research in transplantations.
-
- Special News
- ------------
- Ron Sewill <esanchez@csbsju.edu>
- I started, along with some other parents who have been there, done that,
- an informational and advocacy group for special needs kids of all kinds.
- We also put out a free monthly snail mail newsletter targeted to our area
- but applicable to most places describing what is available to make the
- non-medical part a little easier:
- Special News
- PO Box 23
- Sauk Rapids, MN 56379
- 1-800-471-0026
- or e-mail me at: <esanchez@csbsju.edu> with name, address, and I
- will add you to the confidential mailing list. Oh yes, we want to
- know if you are a family or a professional caregiver.
-
- TRIO
- ----
- http://www.med.umich.edu/trans/transweb/support/trio_main.html
-
- The Transplant Recipients International Organization is a
- network of local support groups that meet for the benefit of members and
- to promote organ donor awareness. Their national headquarters can put
- you in touch with your local chapter: (800) TRIO-386, (202) 293-0980, fax
- (202) 293-0973. They also have pamphlets and organ donor cards available.
-
-
- Other
- -----
-
- Local transplant centers and OPOs
- ---------------------------------
- Local Organ Procurement Organizations (OPOs) often have education and
- promotion activities. A local transplantation center will be able to
- give you information on this.
-
- Books, Magazines, and Videos
- ----------------------------
- (see also Wendy Marx Foundation above)
-
- Encore: Another Chance at Life A slick magazine published by Chronimed
- Pharmacy "exclusively for organ transplant patients, their families and
- friends." Apparently published 4 times a year. "This publication
- provides a broad look at many issues surrounding organ transplantation
- and encourages personal stories and feedback from readers." For a four
- issue subscription for $12.95 annually write to: Chronimed Publishing,
- P.O. 46181, Minneapolis, MN, 55446-9920
-
- From Bob Finn (finn@nasw.org )
- ""Organ Transplants: Making the Most of Your Gift of Life," (O'Reilly &
- Associates, 2000) "
- http://nasw.org/finn/organ.html
- In Organ Transplants I tell the organ recipient, the potential organ
- recipient, and his or her family what to expect from this life-changing
- event. Transplant professionals like to say that a transplant does not
- restore a person to perfect health. On the contrary, the recipient is merely
- changing one serious medical condition for another. Transplant recipients
- need to cope with the lifetime responsibility of taking anti-rejection
- medications, many of which have significant side effects. They have to dodge
- the twin perils of infection and rejection. They have to deal with the
- emotional and financial consequences of transplant. Told from the medical
- consumer's point of view, Organ Transplants will help the recipient cope
- with this often overwhelming situation.
-
- "Transplant Success Stories"
- Contains histories of recipients and donor families.
- Edited by Paul I. Terasaki and Jane Schoenberg, 1993
- Published by the UCLA Tissue Typing Laboratory
- Order $5.00 a copy:
- UCLA Tissue Typing Laboratory
- 950 Veteran Avenue
- Los Angeles, CA 90024
- Telephone: (310) 825-7651
- FAX: (310) 206-3216
-
- (from Marion Leska <MarionL@aol.com>)
- "LIFE from DEATH, The Organ and Tissue Donation and Transplantation
- Source Book with Forms"
- The P. Gaines Co.
- P.O. Box 2253, Oak Park, Illinois, 60303
- The book has several sections. It has a detailed explanation of the Nat'l
- Organ Transplant Act, and then has sections on 1.Donation of
- organs,tissues,etc; Law and legislation, U.S. and States. 2. Transplant
- of Organs,tissues,etc. Law and legislation, US and States., and 3. Dead
- bodies (honest!!!) Law and legislation, US and states.
-
-
- "Taking Heart" by A.C. Greene.
- 1990, Simon & Schuster.
- A first person account by a heart transplantee.
-
- From Fritz Dolak <00fjdolak@bsuvc.bsu.edu>:
- Video: "Dying to Breathe" It can be
- obtained for $19.95 from Nova: 1-800-628-5355. Though it contains a 1993
- copyright, I believe it was filmed c. 1989. I may be wrong in this. My
- transplant center made all lung transplant candidates view it.
-
- Transplant Video Journal
- ------------------------
- A half-hour video newsmagazine covering transplantation topics nationwide
- is available FREE of charge by sending your name, address, etc. to
- transvidjr@aol.com. Or you may fax request to (201) 515-3434. Transplant
- Video Journal is produced by TransCom Media through an educational grant
- from Sandoz Pharmaceuticals Corporation, East Hanover, NJ.
-
- List of waiting times at some US lung transplant centers
- --------------------------------------------------------
- Waiting time estimates were given by a center employee on April 1995.
- These are unofficial numbers, and may have changed. Waiting time should
- not be the sole criteria for choosing a transplant center. A complete
- list of lung transplant centers is available from UNOS:
-
- (from Joel Newman <NewmanJD@gwwpm1.unos.org>)
- Please specify the programs for whom you want data and give us a
- snail-mail address (there is a user's guide that accompanies the data,
- and it's almost always too much to fax). The best number to call for
- more info is the Communications Department at 804-330-8561. You can also
- fax requests to us at 804-330-8507, or e-mail me and I'll pass it on.
- Please try to allow a week or so for us to process and mail the info --
- we're getting a lot of requests lately.
-
- Baylor College of Medicine
- Houston, TX
- (713)790-2076713)70
- average wait 6 - 9 months
-
- Barnes Hospital
- St. Louis, MO
- 1-800-321-4054
- average wait 12 - 18 months
-
- The Hospital of the University of Pennsylvannia
- Philadelphia, PA
- (215)662-2365
- average wait 11 - 12 months
-
- USCD Medical Center
- San Diego, CA
- (619)543-7777
- average wait for single lung 7 months
- average wait for double lung 12- 18 months
-
- Shands Hospital
- Gainsville, FLA
- 800-749-7424
- average wait 6 - 8 months
-
- University of Washington Medical
- Seattle, WA
- (206)543-3090
- average wait 12 months
-
- University Hospital
- Denver, CO
- (303)270-7891
- average wait max. 12 months
-
- Presbyterian University Hospital
- Pittsburgh, PA
- (412)648-9136
- average wait two years
-
- Columbia Presbyterian Medical Center
- New York, NY
- (212)305-7600
- average wait two - three years
-
- UNC Hospitals
- Chapel Hill, NC
- (919)966-6038
- average wait for single 12 - 15 months
- average wait for double 18 - 24 months
-
- Baylor University
- Dallas, TX
- (214)820-6856
- average wait 6 - 12 months
-
- Cedars-Sinai Medical Center
- Los Angeles, CA
- (310)855-2354
- average wait 18 months
-
- Mayo Clinic
- Rochester, MN
- 800-422-mayo
- average wait 2 -3 years
-
- University of Michigan Medical Center
- Ann Arbor, MI
- (313)936-8535
- average wait 12 - 18 months
-
- Medical Center Hospital
- San Antonio, TX
- (210)567-5777
- average wait nine months
-
- University of Minnesota Hospital
- Minneapolis, MN
- 1-800-688-5252
- average wait one year
-
- Loyola University
- Maywood, IL
- (708)216-1169
- average wait 7 months
-
- University of Illinois
- (312)413-1900
- Chicago, IL
- average wait 4-5 months
-
- Living-Related Liver Transplant Programs in the US
- --------------------------------------------------
- from Lisa Carroccio, Chairwoman & CEO Biliary Atresia & Liver Transplant
- Network
- Livers4Kids@earthlink.net
- Complete list also available at http://www.asf.org/livingrelated.html
-
- Baptist Medical Center of Oklahoma
- Boston's Children's Hospital
- Cardinal Glennon's Children's Hospital
- Children's Hospital Medical Center, Cincinnati, OH
- Children's Hospital of Philadelphia (CHOP)
- Dallas Liver Transplant Program
- Denver Children's Hospital
- Fairview-University Medical Center
- Hermann Hospital
- John Hopkins Medical Center
- Massachusetts General Hospital
- Medical College of Virginia Hospital
- Mount Sinai Medical Center
- St. Christopher's Hospital for Children
- Stanford University/Lucille Salter Packard Children's Hosp.
- Texas Children's Hospital
- University of California at San Francisco (UCSF)
- University of California at Los Angeles (UCLA)
- University of Chicago/Wyler's
- University of Miami/Jackson Memorial
- University of Nebraska
- University of Pittsburgh Children's Hospital
- Washington University School of Medicine-St. Louis Children's Hospital
- Westchester County Medical Center
- Wilford Hall Medical Center
-
- ============================================================================
- III. Non-US professional organizations and patient support groups
- ============================================================================
- If anyone would care to contribute information on transplant related
- topics in other countries, please send it to
- mike.holloway@stjude.org, or post it to bit.listserv.transplant.
-
- Information from Wanda Bond, Gerald Huber, and Julio Real
-
- UNOS-like Organizations and Transplant Programs in Other Countries
- ------------------------------------------------------------------
- Metro Organ Retrieval, Toronto General Hospital 416/390-3587
-
- Metro Transplantation, Montreal, Quebec 514/527-0047
-
- Foothills Hospital, Calgary, Alberta 403/283-2243
-
- Victoria General Hospital, Halifax, Nova Scotia 902/428-2222
-
- Eurotransplant Foundation 011-31-071-268008
- University Hospital
- Rijnsburgerweg 10
- 2333 AA Leiden, The Netherlands
- Attn: Bernard Cohen, Director
-
- * As of October 10, 1995 Eurotransplant will be moving to:
-
- Plesmanlaan 100
- PO box 2304
- 2301 CH Leiden
- the Netherlands
- Attn: Bernard Cohen, Director
- Phone: 011-31-71-(5*) 795 795
- Fax: 011-31-71-(5*) 790 057
-
- UK Transplant Center 011-44-272-507-777
- Southmead Rd.
- Bristol BS10 5ND
- England
-
- Scandia Transplant 011-46-8-7465-723
- Dept. of Clinical Immunology
- Huddinge Hospital
- Huddinge, Sweden
- Attn: Dr. Hakan Gobel
-
- France-Transplant 011 -33(1)42.06.94.90
- Hopital Saint Louis
- 1, av. Claude Vellefaux
- 75475 Paris Cedex 10
- France
- Attn: Pr. Jacques Hors, Secretary General
-
- Center Hosp Lyon Sub, Lyon University, Division of
- Nephrology, Pav 2F, 69310 Pierre Benite, Lyon Ph: (33)78 86
- 1309 Fax: (33) 78 861941
-
- Hospital Edouard Herriot, Transplant Unit, Pl D'Arsonval,
- 69347 Lyon Cedex 03 Ph: (33) 78 540371 Fax: (33) 72
- 3370011
-
- Organizacion Nacional de Trasplantes 011-34-1-3142406
- Central Organ Exchange Coordination Office 3142474
- Sinesio Delgado, 8 3142488
- 28029 Madrid 3142568
- Spain 3142634
- FAX: +34 3 314 29 69
- Attn: Dr. Rafael Matesanz, National Transplant Coordinator 3142669
-
- OCATT - Organitzacio Catalana de Transplantaments
- Mejia Lequerica, 1
- 08028 Barcelona, Spain
- voice Ph. +34 3 490 62 50
- FAX +34 3 491 37 11
- Head Coordinator: Dra. M. Antonia Viedma
-
- Latvian Transplantation Center 011-007-0132-614210
- 13, Pilsonu str. 619091
- P. Stradin Republic Clinical Hospital 613474
- 226002, Riga
- Latvia
-
- Swiss Transplant
- National Reference Laboratory for Histocompatibility
- Hopitat Cantonal Universitaire , Geneva
- Switzerland
- Attn: M. Jeannet or C. Goumaz
-
- Hungary Transplant
- Budapest 011-36-1-1334-143
- 1143-635
- Szeged 011-36-06-62-21643
- Dabrecen 011 -36-06-52- 18855
-
- Italy-CCST 0l 1-39-91-651-7692-4
- International Coordinating Center 011 -39-91 -543-554 Cod. 32118
- Unsversita di Roma ZLa Sapienza"
- II Clinica Chirurgica
- Viale del Policlinico
- 00161 Roma
- Italy
-
- The European Transplant Coordinators Organization (ETCO)
- --------------------------------------------------------
- Contact: Linda Trekels, ETCO Executive Office, Steenveldstraat 18,
- B-3210 Linden, BELGIUM.
- Fax: +32-16-622-981.
-
-
-
- Dialysis and transplant support groups:
- ---------------------------------------------
- The list below was compiled by Gerald Huber
- <Gerald.Huber@geographie.uni-regensburg.de>, Julio Real
- <IQIREAL@CC.UAB.ES>, and Bernardo Brotas Carvalho
- <bernardo@cfn.ist.utl.pt>.
-
- Austria:
- Gesellschaft Nierentransplantierter
- und Dialysepatienten Oesterreichs
- z. Hd. Hfrat Dr. Herbert Schmidt
- Neulerchenfelderstr. 10/I/3/17
- A-1160 Wien, Austria
- Phone: (0043) 4083818
-
- Europe:
- CEAPIR
- c/o Patricia Doherty
- Pembroke Road
- 156 Ballsbridge
- Dublin 4, Ireland
- Phone: 00353-1-689788/9
- Fax: 00353-1-683820
-
- Germany:
- DIATRA Verlag GmbH German Association of Dialysis Physicians
-
- Postfach 12 30 Deutsche Dialysegesellschaft
- D-65332 Eltville/Rhein niedergelassener Aerzte e.V.
- Germany Bundesallee 243
- Phone: (06123) 73478 D-42103 Wuppertal
- Fax: (06123) 73287 Phone: 0202/445655
-
- Federal Association of Transplant Recipients German Heart Foundation
-
- Bundesverband der Organtransplantierten Deutsche Herzstiftung e.V.
- Paul-Rⁿcker-Str. 20 - 22 Wolffsgangstr. 20
- D-47059 Duisburg D-60322 Frankfurt am Main
- Tel. (02 03) 44 20 10 Phone: 069/9567980
- Fax (02 03) 44 21 27
- http://members.aol.com/bdomuc/index.htm
-
- German Foundation for Organ Transplantation Heartchild Association
-
- Deutsche Stiftung Organtransplantation Herzkind e.V.
- Emil von Behring-Passage Husarenstr. 70
- D-63263 Neu-Isenburg D-38102 Braunschweig
- Phone: 06102/359210 Phone: 0531/797121
-
- Italy (north):
- Associazione Altoatesina nefropatici
- Via C. Battisti Str. Nr. 33
- I-39100 Bolzano, Italy
- or via the president
- Florian Mair
- St-Peter-Weg 19
- I-39018 Terlan, Italy
- Phone: (0039) 471/57595
-
- JTR Japan Transplant recipients organization
- Address:
- Osaka-City Kita-ku Minamimori-mati 2-3-20-502, Japan
- Address Number 530
- TEL 06-362-0411 FAX 06-362-2068
- Office Manager
- Mr. Okubo Mitikata
-
- Luxenburg:
- Association Luaxembourgeoise des Malades Renaux e Transplantes a.s.b.i
- BP 2713
- L-1027 Luxembourg
- Louxembourg
- Vic Christoph, president
- Phone: 00352/378458 or 44112022
-
- Portugal:
- (from Bernardo Brotas Carvalho <bernardo@cfn.ist.utl.pt>)
- APIR Associacao Portuguesa de Insuficientes Renais
- c/o Ma Alcina Ascencao
- Address: Via Princ. de Peoes, Zona 1, Lote 105, Chelas
- 1900 LISBOA
- PORTUGAL
- Phone: +351 1 8575753
- Fax: +351 1 8370826
-
- Spain:
- (From Julio Real <IQIREAL@CC.UAB.ES>)
- ADER ('Asociacion de Enfermos Renales': kidney patients association)
- ---------------------------------------------------------------------
- ADER is the Catalan association of kidney patients. Full members are all
- affected of ESRD (dialysis or transplanted). Others may be associate
- members, according to our bylaws. We are a non-profit organization,
- founded in 1976, and with a membership of ca. 1600 today. Our main goals
- are to assist patients with chronic renal failure in all aspects
- concerning their quality of life, providing factual, psychological and
- nutritional advice, and services. And to inform the Catalan society of
- the need and importance of organ donation.
-
- The general services the association offers include:
- - Travel advice and arrangements for patients in dialysis, worldwide, for
- work or vacation. - Physical rehabilitation (massages, yoga... ).
- - Nutritional information: cooking classes for kidney patients and
- family members. We are now publishing a cookbook for ESRD diet (in
- Catalan, a Spanish version will be forthcoming).
- - We have periodic lectures (by urologists, nephrologists, and
- others...), on the latest advances in treatment an therapy, and other
- topics of interest, such as tax deductions for the handicapped.
- - We organize a Symposium on 'Dialysis, Transplant and Organ
- Procurement'. This year it will be held in Barcelona, on the fall.
- Nephrologists, urologists, organ procurement coordinators (so far only
- from Spain) give lectures followed by brief discussions.
- -We publish a book of 'Proceedings', with the (more or less) summarized
- lectures (Spanish). These Proceedings are available at a cost of $15.-
- plus postage. I will send a short list of titles-contents.
- - We publish a newsletter four times a year (in Spanish), including
- topics of general and local interest. Subscriptions are available at a
- cost of $25.- + postage per yr.
- - Recreational activities: excursions, art shows, sports competitions, a
- children festival, with clowns, etc.
- - We have an arrangement with a pager service providing company, so that
- the members in the waiting list can carry one at a discount.
- - We organize periodic Donor Awareness campaigns, including the distribution
- of
- Organ Donor Cards, information leaflet distribution, etc.
-
- Switzerland:
- VNPS
- c/o Yvonne Guerini-Brunner
- 7 rte de Founex
- CH-1291 Commugny
- Switzerland
- Phone: 0041/22/7761113
- There is also a French SSMIR and an Italian ASPIR
- group under the same adress.
-
-
- ============================================================================
- IV. Transplant fundraising
- ============================================================================
- (see also the National Transplant Patient Resources Directory, part 3 of
- the FAQ)
-
- UNOS has a paper-bound booklet entitled "FINANCING
- TRANSPLANTATION (What Every Patient Needs to Know)." The
- booklet is FREE and a copy can be obtained by calling
- 1-800-24-DONOR. It is loaded with invaluable information
- relevant to those individuals considering and/or awaiting organ
- transplantation.
-
-
- The following is from the BMT Newsletter, November 1993, and reproduced
- by Kimberly.A.Montgomery.1@ND.EDU with the publisher's permission.
-
- Copyright 1993
- BMT Newsletter
- 1985 Spruce Ave.
- Highland Park, Illinois 60035
- 708-831-1913
-
- The information is applicable to any kind of transplant
- fundraising. Two other excellent articles from the BMT Newsletter
- on organizing fundraising and support are available in the TRNSPLNT
- archive and at the Yale biomedical gopher (see above).
-
- Agencies Provide Fundraising Help
- ---------------------------------
-
- What do you do when you need to raise $10,000 for a bone narrow transplant,
- but have no fundraising experience? Some BMT patients have turned to groups
- such as the Organ Transplant Fund in Memphis TN or the Children's Organ
- Transplant Association in Bloomington IN for help.
-
- The Organ Transplant Fund (OTF) was founded in 1983 to raise funds for
- organ transplant recipients. Since its inception, the group has
- orchestrated more than 500 successful fundraising campaigns including 100
- for bone narrow transplant patients. On average, $200,000 is raised per
- patient, says national director Suzanne Norman.
-
- Initially, a staff person from Organ Transplant Fund meets with the family
- to identify a fundraising chairperson, and to set up a committee of local
- volunteers. "We then meet with the volunteers, help them develop a
- fundraising plan, and show them how to tap into resources in their
- community quickly and effectively. We provide them with a fundraising
- packet and ideas for events, as well as access to low-cost products they
- might want to sell to raise funds such as cookbooks, candy bars, etc."
-
- Funds raised through OTF are used solely to pay transplant-related
- expenses. OTF controls the funds and administers payments directly to the
- health care provider. In the event of death, funds remain in the patient's
- account for up to one year to pay transplant-related bills. Thereafter, the
- funds are transferred to a general account that provides emergency grants
- and support services for future patients.
-
- "Since contributions to the Organ Transplant Fund are tax-deductible.
- working with us expands the universe of potential contributors," says
- Norman. "Large corporations, for example, will simply not make a
- contribution to an individual but they will contribute to a tax-exempt
- organization."
-
- Fundraising guidance is not the only help Organ Transplant Fund provides.
- '"We offer our families a multitude of support services such as arranging
- for lodging and transportation to the transplant center, identifying BMT
- centers that do transplants for their particular disease, negotiating a
- reduced down payment at the BMT center so the transplant can begin quickly,
- etc." says Norman.
-
- Organ Transplant Fund retains 5 percent of the funds raised to cover
- administrative costs. "Many patients have told us that our support
- services, alone, are worth the price," says Norman.
-
- The Children's Organ Transplant Association (COTA) also provides
- fundraising assistance to organ transplant patients, both children and
- adults. Founded in 1985, the group has conducted more than 150 fundraising
- campaigns on behalf of organ transplant patients, approximately half of
- which have been for bone marrow transplant patients, according to COTA
- executive director David Cain.
-
- "The amount of money varies according to the number of volunteers working
- on the fundraising campaign and the size of the community." says Cain.
- "Typically, $75,000-$100,000 can be raised in a period of 60-90 days."
-
- Like OTF, COTA asks families to identify a network of volunteers who will
- orchestrate fundraising activities in the community. "We provide them with
- a fundraising kit, ideas for events, and help with publicity," says Cain.
- "Depending on the amount of money to be raised, COTA staff may meet with
- the family or simply provide guidance over the phone."
-
- All contributions are deposited in a tax-exempt COTA fund and are used
- strictly to pay medical expenses. "It's important that the public have
- confidence that their contributions will be used only for necessary medical
- expenses," says Cain. "Having the funds controlled directly by COTA rather
- than the family provides that assurance."
-
- COTA's administrative expenses are covered by the interest earned on the
- accounts into which funds raised for patients are deposited. All funds are
- invested in government securities, says Cain.
-
- "Our goal is not only to raise funds for transplant patients, but to get
- the community educated and involved in the process," says Cain. "Our
- emphasis is on having friends and neighbors help each other."
-
- To contact the Organ Transplant Fund, phone 800-489-FUND. To contact the
- Children's Organ Transplant Association, phone 800-366-2682. Life-Core
- (Oregon), 503-366-9125, also provides fundraising assistance.
-
-
- ============================================================================
- V. Live kidney donor information
- ============================================================================
-
- The following is a summary of "Donating a kidney to a family member- How
- primary care physicians can help prepare potential donors"
-
- Authors: Michael L. O'Dell, MD
- Kristi J. O'Dell, ACSW
- Thomas T. Crouch, MD
-
- VOL 89/NO 3/February 15, 1991/Postgraduate Medicine . Kidney
- Donation
-
- Summarized by Katherine Eberle, eberle@gdls.com for the
- TRNSPLNT FAQ Jan 1994.
-
- Preview
-
- When a relative needs a kidney to survive, family members often
- impulsively offer to donate one without stopping to consider the
- physical, emotional, and financial ramifications, which can be
- considerable. The family's primary care physician can be very
- helpful in guiding and educating potential donors and, by arranging
- for screening to be done in the community, can ease the financial
- strain. The authors discuss the things a potential kidney donor
- should consider.
-
- The desirability of transplantation is increasing and the supply of
- cadaveric kidneys falls far short of the demand. So searching for a
- possible living related donor is becoming more and more common.
- Much of the preliminary testing required to identify a donor can be
- easily performed in the potential donor's community, under the
- direction of the primary care physician in communication with the
- transplant team. Additionally, the donor's care is aided when the
- evaluating physician serves as an advocate.
-
- Evaluation for Immunologic Match
-
- Usually, the first test performed is determination of ABO blood type
- compatibility. Many physicians follow ABO compatibility testing
- with HLA typing.
-
- Tests required by most centers and a description of results that may
- prohibit transplantation:
-
- TESTS Potential Disqualifying
- Factor
-
- History and Physical Age under 18 or over 55 yr
- Examination Obesity
- Hypertension
-
- Systemic disorder with
- potential to impair health
- Psychiatric disorder
- Deep vein thrombosis
- Family history of polycystic
- kidney disease,
- diabetes in both parents,
- hereditary nephritis,
- systemic lupus erythematosus
-
- Laboratory Studies
- Blood typing Poor match with recipient
- Complete blood cell count Anemia or blood dyscrasia
- Automated biochemical Abnormalities indicating
- analysis significant disease state
- Screening for diabetes Evidence of diabetes
- Serologic tests for syphilis Evidence of current
- infection
- Hepatitis B surface antigen, Evidence of current
- antibodies, core antigen infection
- Human immunodeficiency virus Evidence of current
- testing infection
- 24-hr urine collection for
- Creatinine Diminished clearance
- Protein Significant proteinuria
- Calcium Hypercalciuria
- Oxalate Hyperoxaluria
- Urate Hyperuricemia
- Urine osmolality after Inability to concentrate to
- overnight thirst >700 mOsm/L
- Urinalysis Unexplained hematuria and/or
- other abnormality
- (eg, proteinuria)
- Urine culture Evidence of urinary tract
- infection
- Pregnancy test (where Positive for pregnancy
- applicable)
- HLA typing Poor immunologic match with
- recipient
-
- Radiographic Studies
- Chest x-ray film Evidence of significant
- disease
- Intravenous urography Anatomic abnormality
- Renal arteriography Anatomic abnormality
-
- Other Studies
-
- other significant
- abnormality
- Tuberculin and Candida skin Evidence of active
- tests tuberculosis or anergy
- Multiple gated acquisition Evidence of ischemic heart
- stress test (in men over age disease
- 45 yr and women over 50 yr)
- Pulmonary function testing Significant abnormality in
- (in smokers) lung function
-
-
- If the potential recipient is a reasonable match, renal angiography
- is performed to determine which of the donor's kidneys is the more
- accessible and the better anatomic match and to screen for
- abnormalities that might preclude uninephrectomy. In general, the
- left kidney, with its longer renal vein, is selected.
-
- Potential donors should also be screened for psychosocial risk
- factors. An evaluation of the stability of the individual and the
- family and the financial impact of donation should be undertaken.
- This is often performed by social workers. An important
- consideration is psychosocial evaluation is whether the potential
- donor is being coerced into the donation. Purchase of a kidney is
- illegal in the United States. Occasionally, evaluators discover
- potential donors who are unwilling to donate and yet are being
- significantly pressured to do so by family members. Such persons
- should be skillfully assisted in resisting such coercion, perhaps by
- honestly describing them as "not an appropriate match."
-
- Potential Disqualifying Psychosocial Factors in Kidney
- Donor:
- Evidence of significant coercion to donate
- Evidence that donation would cause extreme financial
- hardship
- Evidence that spouse is strongly opposed to donation
- Evidence of significant psychiatric disturbance
-
- Often, family members spontaneously decide to donate a kidney before
- they have had an opportunity to consult medical personnel. They
- make their decision on moral rather than technical grounds, often
- describing it as "the right thing to do" or their "calling."
-
- Effects on the Donor
-
- PHYSICAL EFFECTS - The actual risks to the donor from uninephrectomy
- may be divided into short- and long-term. Short-term risks are those
- typically seen with this major surgical procedure (ie, pulmonary
- embolus, severe infection or sepsis, renal failure, hepatitis,
- myocardial infarction, splenic laceration, pneumothorax). Estimates
- of the mortality rate are generally less than 0.1% and of
- significant complications less than 5%. Less than 1% of donors have
- any permanent disability. Long term risks are controversial and
- largely unknown. In one third of all donors, nonprogressive
- proteinuria develops. This finding has led to a recommendation that
- donors restrict their protein intake after uninephrectomy. In
- addition, donors experience a slight rise in the serum creatinine
- level, which is also nonprogressive.
-
- PSYCHOSOCIAL EFFECTS - These risks to potential and actual donors
- may also be short- or long-term. Potential donors who choose not to
- donate may experience guilt about their decision or be ostracized by
- the family, although detailed studies of potential donors who choose
- not to donate are few.
-
- About one fourth of those who choose to donate experience moderate
- to severe financial difficulties. Even though the cost of the
- evaluation and procedure is borne by the federal End Stage Renal
- Disease Program, unreimbursed financial losses resulting from job
- absence and travel can be significant. Most authorities cite a
- return to work 4 weeks after uncomplicated uninephrectomy. Some
- centers use donor- specific blood transfusions as a means of
- enhancing graft survival. This requires blood donation from the
- potential donor several days before the actual procedure, which may
- extend the time away from home and work.
-
- Troubled marriages may fail when the added stress of a kidney
- donation is introduced. According to one study, one third of the
- couples whose marriage failed cited the kidney donation as a major
- factor in the failure.
-
- Although much attention may be lavished on the donor in the
- perioperative period, it may be short-lived and tends to quickly
- refocus on the recipient. The recipient may, paradoxically,
- criticize the donor's decision or become distant or angry toward the
- donor.
-
- However, the increase in self-esteem gained from the altruistic
- action of donating a kidney may counterbalance such losses.
- Donation of a kidney has provided many donors with a sense of deep
- satisfaction.
-
- In view of the potential risks to donors, some centers refuse to
- perform transplantation from a living related donor. With effective
- immunosuppressive therapy, cadaveric transplantation is quite
- successful, and these centers argue that the benefit to the
- recipient is not greatly enhanced by transplantation from a living
- related donor. However, cadaveric organs are scarce. In contrast,
- proponents of transplantation from a living related donor argue that
- thwarting legitimate altruistic behavior by denying the procedure is
- paternalistic, particularly since enhanced graft survival is noted
- in such recipients compared with recipients of a cadaveric
- transplant.
-
- Conclusion
-
- Although the use of living related donors will remain controversial,
- everyone involved should be struck by the courage of those willing
- to donate a kidney to a relative. For physicians providing care to
- these families, an exceptional opportunity for guidance exists.
-
- ============================================================================
- VI. Renal transplant specific sources and information
- ============================================================================
- (see also the National Transplant Patient Resources Directory, part 3 of
- the FAQ)
-
- NATIONAL AMERICAN ASSOCIATION OF KIDNEY PATIENTS (AAKP)
- -------------------------------------------------------
- 100 S Ashley Dr # 280
- Tampa FL 33602
- (800) 749-2257
-
- Here are the chapters in the U.S.: (Names listed are 1995 chapter President)
-
- NORTHERN REGION
-
- * Meadowsland Chapter * Northern NJ Chapter
- Howard Hurwitz Stan Gottlieb
- PO Box 3032 528 Dinah Rd
- Clifton NJ 07012-3032 Landing NJ 07850
- (201) 471-5674 (Day) ((201) 398-2391
-
- * Garrett Mountain Chapter * Long Island Chapter
- Juana Santana Margie Ng Gencarelli
- 115 Genessee Ave 2 Maplewood Ave
- Patterson NJ 07850 Farmingdale NY 11735
- (201) 278-7860 (516) 756-9126
-
- * New York Chapter
- John Igoe
- 1541 Williams Bridge Rd, 5J
- Bronx NY 10461
- (718) 597-9750
-
- WESTERN REGION
-
- * Central Arizona Chapter * Colorado Chapter
- Dale A. Ester Lew Gaiter
- 4401 W Hatcher Rd PO Box 8442
- Glendale AZ 85302-3821 Denver CO 80201
- (602) 939-7248 (303) 758-8610
-
- * Harbor-South Bay Chapter * Sacramento Valley Chapter
- Mary Heisick Patricia Jones
- PO Box 8 565 Morrison Ave
- Seal Beach CA 90740 Sacramento CA 95838
- (310) 430-0786 (916) 924-1996
-
- * Redding California Chapter * Los Angeles Chapter
- Jamie Hale Judy Weintraub
- 18388 Utility Ave PO Box 76E87
- Anderson CA 96007 Los Angeles CA 90067
- (916) 246-7881 (310) 277-1763
-
- SOUTHEASTERN REGION
-
- * Palm Beach Chapter * South Florida Chapter
- Ben Altman Rick Kral
- 7748 A Lexington Club Blvd 11501 NW 18th Court
- Delray Beach FL 33446 Plantation FL 33323
- (407) 499-2910 (305) 472-7935
-
- MIDWEST REGION
-
- * Alabama Chapter * Atlanta Georgia Chapter
- John Streeter Pamela Printup
- 1408 29th St, North 6409 Lakeview Dr
- Birmingham AL 35234 Buford GA 30518
- (205) 252-9556 (404) 932-1100
-
- * Chicagoland Chapter * Miami Valley Ohio Chapter
- Gloria Combs Bob Felter
- 70 Lincoln Oaks Dr #707 4511 W State Route #571
- Chicago IL 60514 West Milton OH 45383
- (708) 325-3475 (513) 698-5847
-
- * Rome Georgia Chapter
- Hazel McDowell
- 118 Woodcrest Dr
- Rome GA 30161
- (706) 232-8989
-
- SOUTHERN REGION
-
- * Bayou Area Chapter * New Orleans Chapter
- Louisiana Barrios Nick Blady
- PO Box 400 3912 Delhi St
- Lockport LA 70374 Metairie LA 70001
- (504) 532-3542 (No phone listed)
-
- * North Louisiana Chapter * Lone Star Chapter
- Mike Salvail Charles Sawyer
- 2620 Centenary Blvd, Suite 110 7311 Lunar Dr
- Shreveport LA 71104 Austin TX 78745
- (318) 222-0400 (512) 448-3676
-
-
- The Diabetes Transplant Exchange
- --------------------------------
-
- is an educational and social forum for people who have chosen to cure
- diabetes through transplantation and for those interested in the advances
- in immunology and transplantation to cure diabetes. For those living in
- reach of New York City, events are held every three months (by invitation
- so we know how many guests to expect). Currently there are 150 members in
- the New York region (NY,NJ, PA, CT, MA). Regional affiliates are being
- established. The Diabetes Transplant Exchange was founded in December
- 1994 by Deb Butterfield (kidney and pancreas recipient 4/93 and 8/94).
-
- For information contact Deb Butterfield at <diabtx@aol.com> or by snail mail
- at 345 East 69th St, 11G, New York, NY 10021
-
-
- NATIONAL KIDNEY FOUNDATION
- --------------------------
- 30 E. 33rd Street, 11th Floor
- New York, New York 10016
- 800-622-9010
-
- NKF's new Family Focus Program features two newsletters "The Parent
- Connection" and "Straight Talk", for parents, and for children and
- young adults respectively. If you would like to receive a free
- subscription at home, please write to "PCST" c/o the address above
- or call using the above phone number.
-
-
- Information below contributed by Alex Bost, alex@unx.sas.com
-
- *** Periodicals (Magazines) Available to Renal Patients:
-
- RenaLife
- Semi-Annual Publication
- Publisher: American Association of Kidney Patients
- Cost: Free with Membership
- Contact: See AAKP above
-
-
- For Patients Only
- Bimonthly Publication
- Publisher: Contemporary Dialysis, Inc.
- Cost: $17/year; $27/two years; Canada, $22/year; Foreign, $32/year
- Contact: For Patients Only 6300 Variel Ave. Suite I.
- Woodland Hills, CA 91367.
-
-
- *** Do I need a Hepatitis B Vaccine?
-
- Hepatitis B is a serious viral disease that attacks the liver. It is
- highly contagious and is potentially fatal. While there is no cure for
- the dangerous Hepatitis B, there is a vaccine available.
-
- Immunization is recommended for persons of all ages, especially those
- who are in a high-risk category: healthcare workers; abusers of
- injectable drugs, sexually active individuals (including heterosexuals
- with more than one partner in a six month period; homosexuals;
- bisexuals), patients on dialysis or those receiving frequent blood
- transfusions, and patients waiting for organ transplantation.
-
- If you fit into any of these categories, you should ask your physician
- about the Hepatitis Vaccine.
-
- *** Should I get a Flu Shot?
-
- Yearly immunization for the influenza virus is recommended for anyone
- who has a chronic condition. If you are a transplant recipient or on a
- donor list, ask your physician about the Flu Vaccine. Starting in 1993,
- Medicare will pay for the influenza vaccine.
-
-
- ===========================================================================
- VII. Bone marrow transplant specific sources
- ===========================================================================
-
- Become a marrow donor - (800)MARROW-2
- ---------------------
-
- Information about how to be registered in the database for tissue type
- matching and bone marrow donation can be obtained from the National Bone
- Marrow Registry at (800) MARROW-2 (see WWW page info below). They'll answer
- any questions and provide you with local centers for testing. To
- register, a small amount of blood is needed for typing. The operation to
- remove marrow is simple and only slightly discomforting. Within days, a
- donor regenerates the marrow.
-
- Bone marrow transplantation (BMT) is an effective treatment for some
- forms of leukemia and is being evaluated in treatments for other
- kinds of cancer. A donor is needed who matches the patient's tissue
- type in order to make the transplant work. Since the odds of any two
- people matching are small, a large number of possible donors is
- needed in order to find a match.
-
- Resources
- ---------
-
- BMT-TALK mail list discussion group:
-
- bmt-talk@ai.mit.edu is a moderated mailing list for the discussion
- of Bone Marrow Transplants. To subscribe to bmt-talk send mail to
- bmt-talk-request@ai.mit.edu with the only word "subscribe" (no
- quotes) in the body of the message.
-
- The BMT Newsletter is published bi-monthly by a former BMT patient for
- BMT patients. It is free, although they also accepts contributions. The
- address is: BMT Newsletter, 1985 Spruce Ave., Highland Park, IL 60035,
- phone 708-831-1913. The on-line version is available through the
- Oncolink gopher site (see below).
-
- BONE MARROW TRANSPLANT SUPPORT NETWORK (800-826-9376)
- A telephone support network for Bone Marrow Transplant patients &
- families.
-
-
- BMT information web and gopher sites:
- -------------------------------------
-
- The Anthony Nolan Bone Marrow Trust
- -----------------------------------
- http://wombat.doc.ic.ac.uk/bone-marrow/index.html
-
- The Anthony Nolan Bone Marrow Trust, a leading centre for research and
- also runs the UK register of potential donors. The more people there are
- on the register, the better the chance of finding a compatible donor.
- This site references other BMT international BMT sites.
-
- The National Marrow Donor Program Information Web Site
- ------------------------------------------------------
- http://WWW.Marrow.Org/
-
- The NMDP maintains a computerized Registry of volunteer marrow donors,
- willing to become donors if ever matched with a patient in need of a
- transplant. Read further to find out how you can become a volunteer
- donor or obtain help through the NMDP.
-
- Contents:
- Donor Story
- Recipient Story
- Questions & Answers
- How Do I Become A Donor?
- Contacting the National Marrow Donor Program
- Current News
- Links of Interest
-
-
- Oncolink
- --------
- Information and on-line versions of the BMT Newsletter and the BMT
- Handbook can be found in Oncolink.
- http://oncolink.upenn.edu/
- BMT information can be found in the Radiation Oncology and Medical
- Oncology directories. A link to this BMT information has been made
- through the transplantation information directory in the Yale
- biomedical gopher site (Part 1, section II).
-
- Bone marrow registries outside the US
- -------------------------------------
-
- The Australian Bone Marrow Donor Registry
- Bone Marrow Transplant Unit
- 153 Clarence Street
- Sydney, NSW 2000
- Australia
- Telephone: +61 2 229 4369
-
- Linda Albinet
- CNCC
- 401-555 West Eighth Avenue
- Vancouver
- Canada
- V5Z 1C6
- Telephone: +1 604 879 7551
- Fax: +1 604 879 4255
-
- Deutsche Knochenmarkspenderdatei
- Kreuzstr. 52
- D-72074 Tuebingen
- Germany
- Telephone: +49 (7071) 84400
- Fax: +49 (7071) 27116
-
- The Norwegian Bone Marrow Donor Registry
- Institute of Transplantation Immunology
- National Hospital
- N-0027 Oslo 1
- Norway
- Telephone: +47 22 86 70 10
-
- Bone Marrow Donor Programme
- W.H.O. Immunology Center
- National University of Singapore
- Singapore 0511
- Telephone: +65 772 3318
- Fax: +65 777 5720
- E-mail: micrenec@nus.sg
-
- Bone Marrow Registry
- Department of Clinical Immunology
- F79, Huddinge Hospital
- S-141 86 Huddinge
- Sweden
- Telephone: +46 (8) 746 8020
-
- The Anthony Nolan Bone Marrow Trust
- The Royal Free Hospital
- London NW3 2QG
- United Kingdom
- Telephone: 0171 284 1234
-
- _________________________________________________________________
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